nursing-diagnosis-midwifery-2018-tracks

Nursing Diagnosis & Midwifery 2018

S e p t e m b e r 1 0 - 1 1 , 2 0 1 8

P r a g u e , C z e c h R e p u b l i c

Page 56

Journal of Nursing and Health Studies

ISSN: 2574-2825

E u r o S c i C o n E v e n t o n

Nursing Diagnosis &

Midwifery

Enrique Gomez Pomar, J Nurs Health Stud 2018 Volume: 3

DOI: 10.21767/2574-2825-C4-011

Neonatal abstinence syndrome: history, diagnosis and management

eonatal Abstinence Syndrome (NAS) refers to a constellation of signs that

are present in some newborn infants resulting from the abrupt cessation

of passive transfer of maternal opioids used during pregnancy. The classic

NAS refers to infants born to mothers who used opioids during pregnancy,

but the term has broadened to include infants whose mothers have used or

abused other psychoactive substances during pregnancy that contribute to the

expression of the syndrome. Pregnant women who use opioids do so illicitly,

and/or as medically prescribed for pain relief, and/or as medication assisted

treatment for opioid dependence. The first case of NAS in infants and the

subsequent treatment (or lack thereof) was reported in 1875 and was called

Congenital Morphinism. By 2012, the incidence of NAS increased to more than

30 per 1000 hospital live births, along with an increase in the number of infants

being treated pharmacologically for NAS, resulting in an increase in the length

of stay and healthcare expenses. We present historical references on NAS, the

various factors and events that led to its increasing prevalence and today’s

current epidemic. We also review the current tools to assess infants with NAS

and treatment options in its management.

Biography

Enrique Gomez completed his Medical School in Peru,

Pediatric Residency in St Joseph’s Regional Medical Center in

Paterson, NJ and Neonatology fellowship at the University of

Kentucky in Lexington; he has completed Masters’ in Sciences

at the University of Kentucky. He is currently working as a

Neonatologist in Mississippi. He has published in several

peer review journals and it’s currently interested in Neonatal

Abstinence Syndrome and in improving breastfeeding rates

and success.

Enrique Gomez Pomar

University of Kentucky, USA